Health Insurance
Frequently Asked Questions
Health insurance is a contract between an individual and an insurance company that covers medical expenses. It’s also known as medical insurance
- Aadhaar card
- Voter ID card
- Passport
- Driving license
- PAN card
- Birth certificate
- NREGA job card signed by a state government official
- Letter from the National Population Register
- Individual health insurance: A policy that covers the insured person’s medical expenses
- Family floater health insurance: A single policy that covers the medical expenses of the entire family
- Personal accident insurance: A policy that provides financial support in case of accidental injuries, disabilities, or death
- You must be a resident of India
- Some plans, especially government-sponsored ones, have eligibility requirements for income
- Employer-sponsored plans require you to be an employee of the company offering the plan
Health insurance doesn’t cover many things, including pre-existing conditions, self-inflicted injuries, and cosmetic procedures.
Common exclusions
- Pre-existing conditions: Health insurance policies may have a waiting period for pre-existing conditions.
- Self-inflicted injuries: Suicide or attempts at suicide are not covered by most health insurance policies.
- Alcohol and drug abuse: Medical expenses related to alcohol or drug abuse are not usually covered.
- Pregnancy and abortion: Expenses related to pregnancy and voluntary abortion are not included in most health insurance plans.
- Cosmetic procedures: Cosmetic procedures that enhance an individual’s external appearance, such as plastic surgery, are not usually covered.
- Non-prescribed treatments: Non-prescribed treatments are not covered by health insurance.
- Experimental procedures: Experimental procedures are not covered by health insurance.
Other exclusions
- Conditions resulting from treatment of existing conditions
- Complications from pregnancy or delivery
- Ailments that are an outcome of a particular lifestyle habit
- Congenital diseases
- Sexually transmitted diseases
- Mental and behavioral disorders
- Age-related illnesses and disabilities
- Age: Older people pay higher premiums because they have a higher risk of becoming sick.
- Coverage: The more coverage you choose, the higher the premium will be.
- Sum insured: Policies with higher sums insured have higher premiums.
- Benefits: Additional benefits like maternity or accidental coverage will increase the premium.
- Customizations: Features like zero co-payment or room rent waiver can affect the price.
